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Provider Contracting Specialist, Experienced
Blue Shield of CA
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Long Beach, CA / Oakland, CA / El Dorado Hills, CA / 3 more...
Your Role The Network Management team handles provider contracting and provider relations statewide. The Provider Contracting Specialist, Experienced will report to the Sr Manager of Provider Contracting. In this role you will support Medical Group/IPA and Hospital/Facility contracting in Northern California for all Blue Shield products. You will be responsible for compre
Email Job
Posted 13 days ago
Clinical Quality Analytics, Senior
Blue Shield of CA
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Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Clinical Quality Analytics and Informatics team delivers best in class clinical quality analytics and informatics to enable high quality and affordable member centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst Senior will report to the Cli
Email Job
Posted 14 days ago
Systems Analyst, Consultant
Blue Shield of CA
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El Dorado Hills, CA / Oakland, CA / Long Beach, CA / 1 more...
Your Role The IT Business Operations team plays a critical role in enhancing business and IT collaboration through a Portfolio based model. The System Analyst, Consultant will report to the Senior Manager, IT Product Management. In this role you will analyze data at a team and portfolio level, in a manner to tell stories to leadership. Your Work In this role, you will For
Email Job
Posted 14 days ago
Provider Contracting Specialist, Senior
Blue Shield of CA
-
Long Beach, CA / Oakland, CA / El Dorado Hills, CA / 3 more...
Your Role The Network Management team handles provider contracting and provider relations statewide. The Provider Contracting Specialist, Senior will report to the Director, Provider Contracting. In this role you will support Medical Group/IPA and Hospital/Facility contracting in Southern California for all Blue Shield products. You will be responsible for comprehensive m
Email Job
Posted 14 days ago
Case Management - Nurse, Senior
Blue Shield of CA
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El Dorado Hills, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Registered Nurse Case Manager will report to the FEP Department M
Email Job
Posted 14 days ago
Program Manager Clinical, Principal (Registered Nurse)
Blue Shield of CA
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Woodland Hills, CA / Oakland, CA / Long Beach, CA / 3 more...
Your Role The Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principal to join our team. In this role, the candidate will provide comprehensive support and collaborate effectively with stakeholders across various departments. The ideal candidate must posses
Email Job
Posted 15 days ago
Correspondence Phone Support, Intermediate
Blue Shield of CA
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Redding, CA
Blue Shield is embarking on an exciting new collaborative partnership with a fellow health plan. We will play a supporting role in their day to day contact center operations by supporting inbound call inquiries from their members and providing a high quality experience. This newly created team of contact center agents will report directly to the Operations Supervisor supp
Email Job
Posted 15 days ago
Community Resource Center Representative, Intermediate (Bilingual Cantonese) - L
Blue Shield of CA
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Woodland Hills, CA / Long Beach, CA / Los Angeles, CA
Your Role This position is located in our Lincoln Heights Community Resource Center Location & require employee to work 5 days per week in the Lincoln Heights Community Resource Center The Community Resource Center (CRC) team is responsible for managing the Blue Shield Promise Health Plan Information Resource Center (IRC) and jointly operating CRCs throughout Los Angeles
Email Job
Posted 15 days ago
Senior Apptio Technology Business Management (TBMA) Specialist
Blue Shield of CA
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Oakland, CA / Long Beach, CA / El Dorado Hills, CA
Your Role The Technology Business Management team is focused on optimizing spend for IT services by driving Technology Business Management and FinOps practices and aligning IT costs to services for total cost of ownership. The team provides IT financial data and analysis that empowers leaders to make informed business decisions as Blue Shield of California leverages cloud
Email Job
Posted 16 days ago
Supplier Procurement/Contracting, Principal
Blue Shield of CA
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Oakland, CA / Phoenix, AZ / Denver, CO / 6 more...
Your Role The Global Business Services (GBS) department is responsible for delivering strategic and category supplier sourcing, contracting and governance excellence at Blue Shield of California. The Principal Sourcing Specialist (Supplier Procurement/Contracting) is responsible for the management and execution of the enterprise sourcing process including supporting the b
Email Job
Posted 16 days ago
Underwriter - Large Group, Consultant
Blue Shield of CA
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Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 4 more...
Your Role The Premier Underwriting team manages the pricing of medical, dental, vision, and life products for employer groups over 3,000 subscribers and all size Labor and Trust groups. The Premier UW Consultant will report to the Senior Manager of Premier, Northern California. In this role you will be assigned and responsible for a renewal book of at least $100M in annua
Email Job
Posted 16 days ago
Internal Auditor, Consultant
Blue Shield of CA
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Oakland, CA / Long Beach, CA / El Dorado Hills, CA / 3 more...
Your Role The Internal Auditor Consultant will report to the Internal Audit Senior Director. In this role you will be responsible for providing objective examinations of evidence for providing independent assessment to the Audit Committee, management and outside parties on the adequacy and effectiveness of governance, risk, management and control processes. Your Work In t
Email Job
Posted 16 days ago
Product Owner, Consultant
Blue Shield of CA
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El Dorado Hills, CA / Oakland, CA / Long Beach, CA / 2 more...
Your Role The Installation and Billing (I&B) team within Blue Shield of California oversees the enrollment and billing and payments process for their groups and members. This role, Product Owner Consultant, will report to the Manager of Programs and Projects and will be responsible for the development and enhancement of our Medi Cal enrollment process, as well as oversee
Email Job
Posted 16 days ago
SAS Programmer- Healthcare Industry
Blue Shield of CA
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Long Beach, CA / Oakland, CA / El Dorado Hills, CA / 3 more...
Your Role Clinical Quality Analytics team is looking for a Clinical Quality Analytics, Senior who has hands on experience on data analysis, research and programming using SAS from various data sources (flat files, relational databases, other SAS datasets etc.) using Base SAS. TheClinical Quality Analytics, Senior will report to the Manager, Clinical Quality Analytics. In
Email Job
Posted 16 days ago
Case Management - Nurse, Consultant
Blue Shield of CA
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Rancho Cordova, CA / Oakland, CA / Long Beach, CA / 2 more...
Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with their care including a multidisciplinary team and the member's treating physicians . The Registered Nurse Case Manageme
Email Job
Posted 20 days ago
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